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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72627/psn-pdf
    January 13, 2021 - Creating a framework to integrate residency program and medical center approaches to quality improvement and patient safety training January 13, 2021 Chen A, Wolpaw BJ, Vande Vusse LK, et al. Creating a framework to integrate residency program and medical center approaches to quality improvement and patient safety…

  2. About the Toolkit Development | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.html
    July 01, 2023 - About the Toolkit Development Toolkit for Improving Perinatal Safety Background Of the 3.9 million births in the United States each year, 2 percent are estimated to involve an adverse event; at least half are potentially preventable. A review by the Joint Commission found that between 2004 and 2014, poor co…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837640/psn-pdf
    July 06, 2022 - Identifying and reconciling patients' allergy information within the electronic health record. July 6, 2022 Vallamkonda S, Ortega CA, Lo YC, et al. Identifying and reconciling patients' allergy information within the electronic health record. Stud Health Technol Inform. 2022;290:120-124. doi:10.3233/shti220044. ht…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47343/psn-pdf
    April 16, 2019 - Using medicolegal data to support safe medical care: a contributing factor coding framework. April 16, 2019 McCleery A, Devenny K, Ogilby C, et al. Using medicolegal data to support safe medical care: A contributing factor coding framework. J Healthc Risk Manag. 2019;38(4):11-18. doi:10.1002/jhrm.21348. https://ps…

  5. MRSA Carriers With Devices: Prevent Infections During the Hospital Stay How To Apply Nasal Mupirocin (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/staff-mupirocin.pdf
    March 01, 2022 - MRSA Carriers With Devices: Prevent Infections During the Hospital Stay How To Apply Nasal Mupirocin AHRQ Pub. No. 20(22)-0036 March 2022 STAFF MRSA Carriers With Devices: Prevent Infections During the Hospital Stay How To Apply Nasal Mupirocin Apply nasal mupirocin ointment twice daily for 5 days…

  6. Nasal Mupirocin (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/staff-mupirocin.docx
    March 01, 2022 - Nasal Mupirocin MRSA Carriers With Devices: Prevent Infections During the Hospital Stay STAFFSection 10-4 How To Apply Nasal Mupirocin AHRQ Pub. No. 20(22)-0036 March 2022 Apply nasal mupirocin ointment twice daily for 5 days to all adult non-ICU patients with medical devices (e.g., central lines, midline c…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44508/psn-pdf
    November 20, 2015 - Outcomes associated with the nationwide introduction of rapid response systems in the Netherlands. November 20, 2015 Ludikhuize J, Brunsveld-Reinders AH, Dijkgraaf MGW, et al. Outcomes Associated With the Nationwide Introduction of Rapid Response Systems in The Netherlands. Crit Care Med. 2015;43(12):2544-51. doi:…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73682/psn-pdf
    September 08, 2021 - Massive open online course (MOOC) learning builds capacity and improves competence for patient safety among global learners: a prospective cohort study. September 8, 2021 Gleason KT, Commodore-Mensah Y, Wu AW, et al. Massive open online course (MOOC) learning builds capacity and improves competence for patient saf…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866170/psn-pdf
    June 19, 2024 - The World Federation of Chiropractic Global Patient Safety Task Force: a call to action. June 19, 2024 Coleman BC, Rubinstein SM, Salsbury SA, et al. The World Federation of Chiropractic Global Patient Safety Task Force: a call to action. Chiropr Man Therap. 2024;32(1):15. doi:10.1186/s12998-024-00536-1. https://p…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60030/psn-pdf
    March 11, 2020 - Soft factors, smooth transport? The role of safety climate and team processes in reducing adverse events during intrahospital transport in intensive care. March 11, 2020 Latzke M, Schiffinger M, Zellhofer D, et al. Soft Factors, Smooth Transport? The role of safety climate and team processes in reducing adverse ev…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842762/psn-pdf
    January 18, 2023 - Support for healthcare workers and patients after medical error through mutual healing: another step towards patient safety. January 18, 2023 Aubin DL, Soprovich A, Diaz Carvallo F, et al. Support for healthcare workers and patients after medical error through mutual healing: another step towards patient safety. B…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44577/psn-pdf
    October 21, 2015 - Improving patient safety in clinical oncology: applying lessons from Normal Accident Theory. October 21, 2015 Chera BS, Mazur L, Buchanan I, et al. Improving Patient Safety in Clinical Oncology: Applying Lessons From Normal Accident Theory. JAMA Oncol. 2015;1(7):958-64. doi:10.1001/jamaoncol.2015.0891. https://psn…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866276/psn-pdf
    July 10, 2024 - Quality and patient safety metrics: developing a structured program for improving patient care in the Department of Medicine at The Ottawa Hospital. July 10, 2024 Hasimja-Saraqini D, McNeill K, Kuk H, et al. Quality and patient safety metrics: developing a structured program for improving patient care in the Depar…

  14. Action Planning for the SOPS Surveys-Overview (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-brady-sops-action-planning-tool.pdf
    June 02, 2025 - Action Planning for the SOPS Surveys-Overview 6 Overview of AHRQ’s Patient Safety Priorities Jeff Brady, MD, MPH Director, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality (AHRQ) Rear Admiral, Assistant Surgeon General, U.S. Public Health Service AHRQ’s Core Compet…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47111/psn-pdf
    September 26, 2018 - Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: a cross-sectional study. September 26, 2018 Ma C, Park SH, Shang J. Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: A cross-sectional study. Int J Nu…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45327/psn-pdf
    September 27, 2016 - A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care environment. September 27, 2016 Fagan A, Parker V, Jackson D. A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care environment. J Adv Nurs. 2016;72(10):2346-235…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837761/psn-pdf
    August 03, 2022 - The effectiveness of improving healthcare teams' human factor skills using simulation-based training: a systematic review. August 3, 2022 Abildgren L, Lebahn-Hadidi M, Mogensen CB, et al. The effectiveness of improving healthcare teams’ human factor skills using simulation-based training: a systematic review. Adv …

  18. Understanding SOPS Surveys: A Primer for New Users - Brady (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-2-brady-2018.pdf
    January 01, 2018 - Understanding SOPS Surveys: A Primer for New Users - Brady 6 Overview of AHRQ’s Patient Safety Priorities and Programs Jeff Brady, MD, MPH Director, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality (AHRQ) Rear Admiral, Assistant Surgeon General, U.S. Public Health Ser…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43626/psn-pdf
    November 05, 2014 - Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. November 5, 2014 Lane SJ, Troyer JL, Dienemann JA, et al. Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. Health Care Manag Rev…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60025/psn-pdf
    March 11, 2020 - Association of work environment with missed and rushed care: tasks among care aides in nursing homes. March 11, 2020 Song Y, Hoben M, Norton PG, et al. Association of work environment with missed and rushed care: tasks among care aides in nursing homes. JAMA Netw Open. 2020;3(1):e1920092. doi:10.1001/jamanetworkop…
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